NPI | 1740424431 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL BEALS Managing Director 201-996-2734 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22D10100030) |
Enumeration Date | 2009-04-24 |
Last Update Date | 2009-04-24 |